RNSG 1146 LEGAL AND ETHICAL ISSUES FOR NURSES Nursing in Today’s World: Chapter 14 Facing the Challenges of Today’s Workplace Kathy Glynn RN, MSN Sandra Rondeau RN, MSN Sandra Fontenette RN, BSN

Learning Content Unit 8 - The Nurse Practice Act of Texas Unit 7 - The Workplace Moving from Novice to Expert Reality Shock Burnout Patient Safety Initiatives Workplace Safety and Health for Nurses Learning Content Unit 8 - The Nurse Practice Act of Texas Nursing Practice Act Nursing Peer Review Nurse Licensure Compact (Learning Content will consist of class participation project).

Benner’s Exemplar Role’s and Levels of Function Helping Role Teaching Role Diagnostic and Monitoring Role Responding to Changing Situations Role Administering and Monitoring the Therapeutic Interventions and Regimens Role Leadership and Management Role Novice Advanced Beginner Competent Proficient Expert

Patricia Benner’s Level’s of Function Expert Proficient Novice Competent Advanced Beginner

Reality Shock With reality shock there is a misconception between the perception of the role and responsibility of nurses and the actual practice of nursing. New nurses feel powerless to effect change in their role with delivering care and this can create despair.

Solutions for Reality Shock Self-appraisal Careful evaluation of employers Comparison of skills to expectations Mentors, preceptors, and coaches Peer support group Personal stress management

Burnout Symptoms of Burnout include physical and psychological distress, exhaustion, fatigue, headaches, backaches, insomnia, etc.

Stress Management and Self-Care for Burnout In order to survive and thrive in the nursing profession make sure you’re attentive to your own needs and practice self-care. This means caring for your self before you care for others. Personal Health Needs Diet Rest Activity Plan Spiritual Needs Time with Family and Friends Life Should Never Be All Work

Patient Safety Initiatives Why Patient Safety? It’s important It’s our business It’s because we care Patient safety initiatives were highlighted by the Institute of Medicine report on To Err Is Human. The report outlined: Joint Commission Federal Safety Legislation Patient Safety and Quality Improvement Act of 2005 Quality Improvement of Health Care Agencies Individual Provider Involvement

Patient Safety Initiatives Improve the accuracy of patient identification. Use at least two patient identifiers when providing care, treatment, or services. Note: Do not use room number! Label containers used for blood and other specimens in the presence of the patient. Eliminate transfusion errors related to patient misidentification Reduce the risk of healthcare associated infections. Comply with Hand hygiene guidelines. Know the hand hygiene compliance data and goals for your work area.

Workplace Safety and Health for Nurses

Workplace Safety and Health for Nurses – Work Related Injuries Nursing Shortage Occupational Hazard /Infection/Needle Sticks Hazardous Chemical Agents Ergonomic Hazards Violence Potential for needle sticks Caring for a combative patient Nurses prone to back injury

Workplace Safety and Health for Nurses - Discrimination in Nursing Areas of Discrimination: Racial/Ethnic Gender – Male and Female Stereotyping Wages

Workplace Safety and Health for Nurses - Sexual Harassment Sexual Harassment is simply unwelcomed sexual conduct. When performed in the work place the environment becomes hostile. The American Nurses Association (ANA), is deeply committed to the principles of civil rights and opposes any form of discrimination against individuals or groups of individuals based on sex, race, age, national origin, religion, disability, or sexual orientation. ANA believes that nurses and students of nursing have a right to and responsibility for a workplace free of sexual harassment. Sexual harassment has an adverse impact on the health care environment. Sexual Harassment Made Simple Training Video http://www.youtube.com/watch?v=EAxu68ZIQwQ

Workplace Safety and Health for Nurses – Violence and Disruptive Behavior Disruptive behavior consist of incivility, verbal abuse, and bullying and when persist - Contributes to patient safety concerns. Creates aversive workplace in which individuals leave. Should prompt administrative authorities to act to stop abuse. Nurses working collectively can decrease the impact Disruptive behavior is an unwanted behavior and should stop. According to Longo, (2010), “Employers have a duty to create a safe and effective environment. Establishing a culture of respect towards each other and having a zero tolerance towards disruptive behavior are necessary steps that agencies must take”. Nurses should familiarize themselves with their institutions policies regarding collegial behaviors and reporting mechanisms.

Thank you for Listening